Kondoh Haruhiko, Yamada Takayuki, Yoshida Akira, Arima Ryouichi, Hatsuoka Shinichi, Shintani Hideo
Department of Cardiovascular Surgery, Otemae Hospital, Chuo-ku, Osaka, Japan.
Surg Today. 2009;39(8):713-6. doi: 10.1007/s00595-008-3980-7. Epub 2009 Jul 29.
We report a case of a fast-growing cardiac papillary fibroelastoma (CPF) arising in the aortic valve. A 71-year-old woman was referred to a cardiologist for investigation of palpitations. Cardiac catheterization, coronary angiography, and echocardiography showed no stenosis of the coronary arteries, nor any other cardiovascular abnormalities. However, 12 months later she was referred to our hospital for further investigations when she began experiencing chest discomfort on exertion. This time, echocardiography showed an abnormal mass arising from the aortic valve, floating between the left sinus of Valsalva and the ascending aorta. Considering the risk of an embolic event, we performed semi-emergency surgery to remove the tumor, preserving the aortic valve. The resected tumor was 16 x 7 mm, and sea anemone-like, with many villus projections. It was diagnosed as papillary fibroelastoma. Such rapid development of CPF is rare.
我们报告一例起源于主动脉瓣的快速生长的心脏乳头肌纤维弹性瘤（CPF）病例。一名71岁女性因心悸被转诊至心脏病专家处进行检查。心导管检查、冠状动脉造影和超声心动图显示冠状动脉无狭窄，也无任何其他心血管异常。然而，12个月后，当她开始在运动时出现胸部不适时，被转诊至我院进行进一步检查。这次，超声心动图显示主动脉瓣出现异常肿块，漂浮在主动脉窦左窦和升主动脉之间。考虑到栓塞事件的风险，我们进行了半急诊手术以切除肿瘤，保留主动脉瓣。切除的肿瘤为16×7mm，呈海葵样，有许多绒毛状突起。诊断为乳头肌纤维弹性瘤。CPF如此快速的发展是罕见的。
